Research On The Experience Of Family Stigma And Countermeasures For Patients With Severe Adolescent Mental Illness

Severe mental illness is a kind of serious mental illness,social adaptation and other functions are severely damaged,and the objective reality cannot be fully understood,leading to obstacles in one’s own cognition,emotion,will,and behavior.With the gradual transition of the group of patients with mental illness to adolescents,and the expansion of the special group of adolescents with severe mental illness,it has a huge impact on the young people themselves and their families.The family is the main place for the rehabilitation and life of adolescents with severe mental illness.Adolescents have violent and dangerous behaviors,impulsive irritability and other symptoms,which affect the normal life and mental health of family members.The existence of family stigma is likely to cause adolescents with mental illness.The quality of life and rehabilitation of patients will have adverse effects,forming a negative cycle of reciprocation.Therefore,this article focuses on the family stigma experience and coping styles of adolescents with severe mental illness in different stages of the process.This article adopts qualitative research methods,taking 21 family members of adolescents with severe mental illness as the research objects,focusing on their physical and mental process dimensions,interpersonal communication dimensions,spatial survival dimensions,family stigma experiences and changes in coping styles.After semi-structured in-depth interviews were used to obtain data,the NVivo11 software was used to analyze the data to explore the family stigma experience and coping styles faced by the family members of adolescents with severe mental illness during the prodromal period,the diagnosis period,and the treatment and hospitalization period..In the prodromal stage,the family stigma experience focuses on the correct cognition of mental illness.Family members often avoid subconsciously due to lack of perceptual sensitivity or stigmatization of mental illness,and attribute the problem of adolescent mental illness to mobile phone addiction or adolescent rebellion.At this stage,the huge psychological gap made the interviewees choose to shrink from the fact of mental illness.The interviewees experienced shock and confusion,heartache and anxiety,and poor sleep quality.The isolation of the interviewer and the stereotype of the school have classified teenagers and families in the “abnormal” area,causing the interviewees to endure tremendous psychological pain in the early stage and unable to admit their children’s special characteristics in a short period of time.In the stage of seeking medical diagnosis,adolescents’ mental illnesses are accurately diagnosed by authoritative experts,which has become an unavoidable fact,and the family stigma experience of adolescents with severe mental illness reaches a peak.Respondents’ own half-knowledge of mental illness and the stigmatization of mental illness in society make them feel self-blame and guilt,irritability and depression,numbness and tiredness,stressful life,and a series of family stigma experiences in the physical and mental process dimensions;Passively enter the role of "family of patients with mental illness" and experience stigma in the interpersonal communication dimension of being treated differently at the level of relatives,incomprehension at the partner level,and discrimination at the neighbor level.During the period of treatment and hospitalization,the interviewee’s life was temporarily separated from that of the youth.During this period,he experienced the family stigma experience of collapse and persistence,derailment from the outside world,and relief from the physical and mental dimensions.Concerns about the quality of life of adolescents in hospital and the effectiveness of treatment have also led to interviewees’ experience of family stigma in the spatial survival dimension of care and work,meeting and consultation.Through the family stigma experience of young people with severe mental illness in the three stages,this article draws the seven stigma coping methods of the research subjects,namely,rejection,avoidance,strategic concealment,abandonment,acceptance and face up,and target the dynamic stage and multi-dimensional structure.Sexual family stigma experience and coping styles,and propose corresponding intervention strategies.